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DSM - 5 > Schizophrenia Spectrum/Psychotic D/O DSM-5 > Flashcards

Schizophrenia Spectrum/Psychotic D/O DSM-5 Flashcards

1
Q

Delusion

A

fixed beliefs that are not amenable to change in light of conflicting evidence

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2
Q

Persectutory delusions

A

belief that one is going to be harmed, harassed, and so forth by an individual, organization or other group

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3
Q

Referential delusions

A

belief that certain gestures, comments, environmental cues, and so forth are directed at oneself

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4
Q

Erotomanic delusions

A

individual believes falsely that another person is in love with him or her

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5
Q

Criterion A for Schizophrenia

A

Two or more of the following, each present for a significant portion of time during a one month period (at least one must be delusions, hallucinations or disorganized speech)
1 - Delusions
2 - Hallucinations
3 - disorganized speech
4 - Grossly disorganized or catatonic behavior
5 - negative symptoms

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6
Q

Two or more of the following, each present for a significant portion of time during a one month period (at least one must be delusions, hallucinations or disorganized speech)
1 - Delusions
2 - Hallucinations
3 - disorganized speech
4 - Grossly disorganized or catatonic behavior
5 - negative symptoms

A

Criterion A for schizophrenia

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7
Q

Alogia

A

Diminished speech

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8
Q

Avolition

A

inability to initiate in activities

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9
Q

Delusional disorder

- required duration -

A

1 month or more

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10
Q

Delusional disorder

- Symptoms -

A

Presence of 1 or more delusions
Criteria has not been met for Schizophrenia
psychosocial functioning is not markedly impaired Behavior is not odd

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11
Q

Presence of 1 or more delusions
Criteria has not been met for Schizophrenia
psychosocial functioning is not markedly impaired Behavior is not odd

A

Delusional disorder

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12
Q

Delusional Disorder

- specifiers -

A 
erotomanic 
grandiose
jealous
persecutory 
somatic
mixed type 
unspecified type
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13
Q

Delusional disorder

- differential dx -

A 
OCD 
Delirium
depressive 
Bipolar 
Schizoaffective
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14
Q

Delusional Disorder

- interventions -

A

Psychoeducation
Medication
Avoid confrontation/power struggle
social skills
CBT- Journaling
Medication Mgmt
empathy/encouragement (supportive psychotherapy)
Gradually and gently challenging beliefs
Relaxation Techniques
Stop & Monitor: establish cues to stop and be aware of thought processes through the day.

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15
Q

Brief Psychotic Disorder

- duration -

A

at least 1 day but less than 1 month

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16
Q

Brief Psychotic Disorder

- symptoms -

A

presence of delusions, hallucination or disorganized speech
eventual return to premorbid level of functioning
at least one day but less than one month

17
Q

presence of delusions, hallucination or disorganized speech
eventual return to premorbid level of functioning
at least one day but less than one month

A

Brief Psychotic Disorder

18
Q

Brief psychotic disorder

- specifiers -

A

with marked stressor: occur in response to a stressful event

Without marked stressor

with postpartum onset: during pregnancy or w/in 4 weeks
postpartum

19
Q

Brief psychotic disorder

- differential dx -

A 
depressive
Bipolar
Schizophreniform
Delusional
other medical
substance-related
personality d/o
malingering/factitious
20
Q

Brief psychotic disorder

- interventions -

A 
Medication
Supportive Psychotherapy 
Psychoeducation
CBT
Behavior therapy- coping skills, stress management
Family-focused therapy
21
Q

Schizophreniform

- duration

A

1 to 6 months

22
Q

Schizophreniform

- symptoms -

A

at least two symptoms in Criterion A for schizophrenia

23
Q

At least two symptoms in Criterion A lasting more than 1 month but less than 6 months

A

Schizophreniform disorder

24
Q

Schizophreniform

- specifiers -

A

first episode

multiple episodes

25
Q

Schizophreniform disorder

- differential dx -

A

Brief Psychotic D/O
Delusional depressive
Bipolar

26
Q

Schizophreniform

- interventions

A

Group therapy

psychoeducation

referral to psychiatrist

identify coping skills

27
Q

Schizophrenia

- duration

A

greater than 6 months

28
Q

Schizophrenia

- symptoms

A

At least two symptoms in Criterion A for at least one month at least one symptom must be hallucinations, delusions, disorganized speech

29
Q

Schizophreniform

- specifiers

A

w/ good prognostic features
-presence of at least two of the following
- onset of prominent psychotic symptoms within 4 weeks of the first noticeable change in usual behavior or functioning
- confusion or perplexity
- good premorbid social and occupational functioning
-absence of blunted or flat affect
without good prognostic features

30
Q

Schizophrenia

- differential Dx

A 
MDD
Bipolar
Schizoaffective
Delusional
BPD
Schizotypal Personality Disorder
PTSD
Stimulant use
31
Q

Schizophrenia

- Interventions

A 
Rehabilitation, clubhouse
Social Skills
Respite care for families
Medication
CBT
Family-focused group
Group therapy
psychoeducation
supported employment
Behavior therapy
Major Role therapy
32
Q

Schizoaffective D/O

- Interventions

A 
Rehabilitation, clubhouse
Social Skills
Respite care for families
Medication
CBT
Family-focused group
Group therapy
psychoeducation
supported employment
Behavior therapy
Major Role therapy
33
Q

Schizoaffective disorder

- duration -

A

One month where major mood episode and Criterion A for schizophrenia
Two weeks or more of delusions/hallucinations outside of mood disturbance

34
Q

Schizoaffective disorder

- symptoms

A

uninterrupted period of illness during which, at some time, there are concurrent symptoms of Schizophrenia and symptoms of a major depressive or manic episode with a period of at least two weeks without prominent mood symptoms.

35
Q

uninterrupted period of illness during which, at some time, there are concurrent symptoms of Schizophrenia and symptoms of a major depressive or manic episode with a period of at least two weeks without prominent mood symptoms.

A

Schizoaffective disorder

36
Q

Schizoaffective disorder

- specifiers

A

Bipolar type

Depressive type

37
Q

Schizoaffective disorder

- differential Dx

A

Schizophrenia
bipolar
depressive disorders

38
Q

Major Depressive Episode

A

Five or more of the following symptoms present during same 2-week period

  • Depressed mood
  • Markedly diminished interest or pleasure in all or almost activities nearly every day
  • significant body weight loss or weight gain, decrease or increase in appetite
  • Insomnia or hypersomnia
  • Psychomotor agitation or retardation nearly every day
  • Fatigue or loss of energy nearly every day
  • Feelings of worthlessness or excessive or inappropriate guilt
  • Diminished ability to think or concentrate, or indecisiveness
  • recurrent thoughts of death, suicidal ideation without plan or suicide attempt

DSM - 5 (13 decks)

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